Role of 99mTc sulphur colloid lymphoscintigraphy in a rare case of chylothorax and lymphocele formation post esophageal duplication cyst excision.
- Resource Type
- Article
- Authors
- Yadav, Naveen; Taywade, Sameer; Kumar, Rajesh; Prashanth, Arun; Saxena, Rahul
- Source
- European Journal of Hybrid Imaging. 9/21/2021, Vol. 5 Issue 1, p1-6. 6p.
- Subject
- *CHYLOTHORAX
*RADIONUCLIDE imaging
*LYMPHOCELE
*ESOPHAGEAL surgery
*CYSTS (Pathology)
- Language
- ISSN
- 2510-3636
We report a rare case of chylothorax with lymphocele formation post esophageal duplication cyst (EDC) excision in a 2 year old male child. Patient developed chylothorax after excision of EDC. Pleural fluid cytology showed increased triglycerides and cholesterol levels. Filtered Tc-99m Sulphur colloid lymphoscintigraphy showed abnormal radiotracer uptake in the lower thoracic region on right side corresponding to lymphocele on SPECT-CT images with possible site of leak medially. In addition, Tc-99m pertechnetate scan was done to rule out possibility of residual duplication cyst revealed no abnormality. Patient underwent open and en-masse ligation of the duct. Patient recovered completely post-surgery. This case highlights the importance of lymphoscintigraphy with SPECT-CT in the evaluation of patients with post-operative complications of chylothorax with detection of site of chyle leak. [ABSTRACT FROM AUTHOR]